Organization
GULF COAST INTEGRATIVE HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY STIBAL (DIRECTOR OF OPERATIONS)
(208) 821-1032
Entity
Organization
Contact information
Practice address
1800 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3931
(225) 254-9589
(225) 208-7267
Mailing address
37283 SWAMP RD STE 803, PRAIRIEVILLE, LA 70769-3329
(225) 254-9589
(225) 208-7267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/15/2023
Last updated
06/05/2023
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